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GROUT OBSERVATIONS REPORT MAYES I lrerracon <br /> Report Number: M7211390.0080 <br /> Service Date: 06/16/22 20225 Cedar Valley Rd Ste 110 <br /> Report Date: 06/21/22 Lynnwood,WA 98036-6365 <br /> 425-742-9360 <br /> Client Project <br /> Vanir Construction Management Inc Merrill Creek Operations Base Main &Ops Bldg Exp Phase 3 <br /> Attn: John Wright 7000 Hardeson Road <br /> 707 S. Grady Way, Suite 120 use middle driveway off 7100 Hardeson Road <br /> Renton,WA 98057 Everett,WA <br /> Project Number: M7211390 <br /> Permit No.: B2101-003 <br /> GENERAL INFORMATION <br /> John with Vanir Construction Management requested Mayes/Terracon be on site for sampling of non-shrink grout, <br /> which is being placed by Forma Construction. The results of observation(s) for today were reported to John with <br /> Vanir Construction Management. <br /> The construction documents referenced for this observation include: Structural plans. <br /> GROUT PLACEMENT <br /> Construction <br /> Type Elevation/Location Qt Supplier Mix ID Status Comments <br /> Steel Column Footing/all interior 20 Quikrete Precision N/A Complies Mixed in 5-gallon buckets with <br /> Baseplate(s) columns and (5)beam bag(s) Non-Shrink Grout (flowable) measured water of(1)gallon and <br /> pockets at CMU walls (3)pints to a full 50-pound bag <br /> Grout Technique: Placed by hand <br /> TESTS PERFORMED <br /> A temperature test was performed and appeared to be in general accordance with project specifications. <br /> Cast a total of(6) cubes (2 sets) for lab-curing and compressive strength testing. <br /> COMPLIANCE STATEMENT <br /> Based on our observations, grouting activities at the above-referenced locations appear to be completed in <br /> general accordance with the project plans and specifications. <br /> Services: Special Inspections/Materials Testing <br /> Mayes/Terracon Rep.: Michael Mattox <br /> Reported To: Vanir Construction Management <br /> Contractor: Forma Construction <br /> Report Distribution: <br /> (1)Vanir Construction Management (1)City of Everett WA,Kurt Keck <br /> Inc,John Wright <br /> (1)Community Transit,Larry (1)Jimale Technical Services LLC, Reviewed By: <br /> Daubenmire Tom Donnelly - <br /> (1)Mayes Testing Engineers,Inc, (1)Mayes Testing Engineers,Inc, Barry Tuttle <br /> Donna Pollard Todd Wirtz <br /> (1)Vanir Construction Management (1)Vanir Construction Management Project Field Manager <br /> Inc,Dan McNay Inc,John Turk <br /> The tests were performed in general accordance with applicable ASTM,AASHTO,or DOT test methods. This report is exclusively for the use of the client <br /> indicated above and shall not be reproduced except in full without the written consent of our company. Test results transmitted herein are only applicable to <br /> the actual samples tested at the location(s)referenced and are not necessarily indicative of the properties of other apparently similar or identical materials. <br /> CT0001,10-16-13,Rev.10 Page 1 of 1 <br />